| Mark A Broussard, DDS | |
|
608 North Avenue K, Crowley, LA 70526 | |
| (337) 788-0677 | |
| (337) 783-0343 |
| Full Name | Mark A Broussard |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 608 North Avenue K, Crowley, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083783302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | LA4905 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Broussard, DDS 608 North Avenue K, Crowley, LA 70526 Ph: (337) 788-0677 | Mark A Broussard, DDS 608 North Avenue K, Crowley, LA 70526 Ph: (337) 788-0677 |
Dr. Lara Henderson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 608 N Avenue K, Crowley, LA 70526 Phone: 337-788-0677 Fax: 337-783-0343 | |
Dr. John B Burgin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 124 Tower Rd, Crowley, LA 70526 Phone: 337-788-1646 Fax: 337-788-3902 | |
Dr. Jade Fontenot, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 725 N Avenue K, Crowley, LA 70526 Phone: 337-783-2455 | |
James C Richey, Dentist Medicare: Not Enrolled in Medicare Practice Location: 117 Blue Lake Dr, Crowley, LA 70526 Phone: 337-783-3321 | |
David Gonzalez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 608 N Avenue K, Crowley, LA 70526 Phone: 337-788-0677 | |
Dr. Kurt S Rothermel, DDS Dentist Medicare: Medicare Enrolled Practice Location: 817 North Avenue K, Crowley, LA 70526 Phone: 337-783-2113 Fax: 337-783-2175 |